Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.57 / $475.00 / $2,205.48	Professional		$380.57	$475.00	$2,205.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.18 / $140.00 / $510.42	Professional	26	$86.18	$140.00	$510.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $289.68 / $335.00 / $565.00	Professional	TC	$289.68	$335.00	$565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $132.50 / $560.50	Professional		$132.50	$132.50	$560.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.50 / $132.50 / $163.80	Facility	26	$132.50	$132.50	$163.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.50 / $921.68 / $1,095.35	Professional		$560.50	$921.68	$1,095.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $132.50 / $211.11	Professional	26	$86.34	$132.50	$211.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $428.00 / $766.91 / $1,003.59	Professional	TC	$428.00	$766.91	$1,003.59
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $132.50 / $132.50 / $163.80	Facility	26	$132.50	$132.50	$163.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $379.59 / $614.36 / $973.08	Professional		$379.59	$614.36	$973.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $132.50 / $175.44	Professional	26	$86.34	$132.50	$175.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $428.00 / $684.68 / $836.25	Professional	TC	$428.00	$684.68	$836.25
United Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $559.47 / $897.30	Professional		$336.52	$559.47	$897.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.22 / $78.67 / $162.25	Professional	26	$78.22	$78.67	$162.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.98 / $437.02 / $762.20	Professional	TC	$257.98	$437.02	$762.20